Data Portability for Donna Racioppi
Table of Contents
Demographics
Care Team Members
Assessment
Plan of Treatment
Reason for Referral
Results
Problems
Procedures
Medical Equipment
Allergies
Medications
Vitals
Social History
Functional Status
Mental Status
Family History
Medical History
Immunizations
Past Encounters
Goals Section
Health Concerns Section
Advance Directives
Payers
Demographics
Sex: Female Ethnicity: Not Hispanic or Latino
DOB: 10/23/1971 Race: White
Preferred
language:
English Marital status: Married
Previous Name:
Contact: 16 Red Bridge Rd, Center Moriches, NY 11934, Ph. tel:+1-631-***-**** (Primary Home) tel:+1-631-***-**** (Mobile)
Care Team Members
Other
None Recorded
Assessment
No assessment recorded.
Patient Targets No targets recorded.
Plan of Treatment
Reminders Order Date Submit Date Provider Details
Appointments Follow Up 30 05/05/2022 04:45PM Mark Bernstein, MD Lab None recorded.
Referral None recorded.
Procedures None recorded.
Surgeries None recorded.
Imaging None recorded.
Reason for Referral
None Reported.
Results
None recorded.
Problems
No information.
Procedures
Surgical History
None recorded.
Imaging Results
None recorded.
Medical Equipment
None Reported.
Allergies
No information
Medications
No information.
Vitals
None Recorded
Social History
None recorded.
Functional Status
None recorded.
Mental Status
None recorded.
Family History
Nothing Reported.
Medical History
No medical history recorded.
Gynecological History No gynecological history recorded. Obstetrics History
GPAL:
G 0 P 0 0 0 0
Immunizations
None recorded.
Past Encounters
None Reported.
Goals Section
Goal Description Status Start Date Updated by Updated on None Recorded
Health Concerns Section
Related Observation
None Recorded
Concern Status Updated by Updated on
None Recorded
Advance Directives
Directive
None Recorded
Payers
None recorded.